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<br />Ricnara D. Lamm <br />Governor <br />G~~PY <br />This report is filed in accordance with Rule 4.07.3(3) of the Regulations of <br />the Colorado Mined Land Reclamation Board for Coal Mining, adopted in <br />accordance with the Colorado Surface Coal Mining Act, C.R.S. 34-33-101 et sec. <br />This report is to be submi*_*.ed within 6Q days of sealing and plugging ova <br />drill holes approved under the specific drilling program. This report can be <br />used for singlE or multiple holes and can be modified as needed, provided that <br />the information contained in Rule 4.07.3(3) is supplied. Additional sheets <br />may be attached, if necessary. <br />Prospector: <br />v 1M m 4- <br />,t~ I -J <br />Address• ~y 4~ w~e~, (,D <br />~i I t5 <br />Notice of Intent No.: ~~ y~ ^ ICounty:r ~o L.. ( i <br />Project Name• ,~ec~kecc-. ,~ (.cue ~ ~ ~1 Ioa~..~JCo~ 1Me ~~ <br />Date: ~ ~ tS - ~ p <br />Name of Drilling Contractor: ~~ <br />License of Dri l l and Rig: ~ v ~ r - _ <br />(Continued on Next Page) <br />(Rev. 5/83) <br />Doc. No. 3078 <br />DEPAR • NT OF NATURAL RESOURCES <br />D. Monte Pascoe. E.ecuuve Oineror <br /> <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SNELTON, Director R~n~ <br />423 Centennial Building, 7313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />